Back Story

 This morning I had a check up arranged with my Spinal Consultant at a hospital in Stourport. 

As I got my shit together* a team of roofers arrived to install a dry valley in the junction where the 1970s and 1980s extensions meet with the original cottage roofing.  We have had an intermittent leak in the redundant chimney in the kitchen and our roofer thinks that this will, hopefully, remediate the problem.

I left the roofers to it and headed off for my check up.  The Consultant was pleased with the condition of my back and we agreed that there was no treatment needed at present, other than over the counter painkillers when necessary. I'll see him again in six months, or sooner if it all goes horribly wrong!

At this point I'll bore you with the back story to my bad back ... Sorry, another fucking awful pun.

In early February 2023 30% and I had been out in the garden doing something. I can't, for the life of me remember what the task was, and there ain't much that needs doing at that time of year. Anyway, we finished the now forgotten task and headed back in to the warm where I fell asleep on the sofa.

When I woke about an hour later my back felt dreadful and I put it down to sleeping in an awkward position due to Whiffler taking up more than his fair share of the settee.  I took painkillers and expected the pain to subside over the next 24 hours, but it didn't, it got much worse!

Within the space of 2 days I had gone from being relatively fit and active to being virtually housebound.  The pain was incredible and strangely manifested itself in the lower back and in shooting, burning pain in my left shin. This was so bad that I couldn't stand for more than five minutes and I couldn't walk for more than fifty yards without having to sit down.

Over the next six months I had many consultations with my GP and Physiotherapists. Their approach was to fob me off with ever increasing strengths of pain killers and tell me that it would get better on its own, rather than refer me for any diagnostic tests.  At its worst I was taking nerve blocks and high strength painkillers** that made little impact on the pain. They just made me incapable of staying awake for more than three hours at a time.

At this point I should commend 30% for her patience and care. She kept the whole household on course and did her best to deal with the most miserable, evil tempered patient ever. 

It is fair to say that being immobile and housebound at the age of 59 with no diagnosis or effective treatment plan was incredibly worrying for both of us.

Whilst I was not able to walk very far, I was able to drive so I signed up with a local Chiropractor; had a few sessions and dutifully followed an exercise regime she designed for me.  After a couple of months we realised that there was no significant improvement, so she referred me to a private imaging company in Cheltenham for an MRI scan.

The scan was completed and I was soon in possession of the Consultant Radiologist's report. I now had a diagnosis. I had a bulging disk between the L4 and L5 vertebrae and also foraminal stenosis on the left side of this joint.  Foraminal Stenosis is a degenerative condition and basically means that a nerve branch that exits the spinal column is being pinched ... hence the crippling pain in the left shin.

I now had a diagnosis after 6 months and was able to get referrals*** to see a Consultant.  A number of treatment options were outlined from an epidural with steroids to back surgery involving removal of bone material and the insertion of a titanium cage to support and tie together the offending vertebrae.

It was agreed that we would start with the epidural steroid injection to control the pain. Interestingly as I was going through the arrangements to have this procedure I noticed that my back seemed slightly better. I was moving slightly more easily, I was sleeping through the night and needed to take far fewer pain killers.  

This was around the beginning of September and over the next six or eight weeks I had the epidural and my back pain diminished. By October I was relatively pain free, but incredibly unfit after eight months of inactivity.  From that point on I have been doing my best to regain a degree of fitness and improve my activity.

The outlook is uncertain. My Consultant is very happy with the current state of affairs, but cautions me that there is every chance that the nerve could become inflamed and put me back on my backside again. All I can do is keep as fit as possible and be very sensible when lifting heavy object ... like sleepers for raised beds!

Having finished that health report I'll quickly finish today's activities.

The roofers finished in the early afternoon and 30% and I headed off to Weston Subedge for another load of topsoil. That has now been transferred to the large raised bed and, as predicted, another load will be needed to top it off.

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* I failed at the first hurdle when, about ten minutes from my destination, I realised that I had forgotten my wallet.  I then offered many prayers to the Gods of car parking that the payment machine would be out of order.  I then rationalised that this was an NHS appointment at a private hospital and no private hospital would charge their paying customers!

** Amitriptylene and Tramadol

*** By this point in time I had qualified for the Private Health scheme of my employer